Jackson W Penry, MD in Mission Viejo, CA - Medicare Diagnostic Radiology

Jackson W Penry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mission Viejo, California. He went to Ohio State University College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice North County Radiology Associates Inc and his current practice location is 27700 Medical Center Road-radiology Department, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 364-7744.

Jackson W Penry is licensed to practice in California (license number A114302) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003055401.

Contact Information

	Jackson W Penry, MD
	27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691-6426
	(949) 364-7744
	Not Available

Map and Direction

Physician's Profile

Full Name	Jackson W Penry
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	27700 Medical Center Road-radiology Department, Mission Viejo, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jackson W Penry attended and graduated from Ohio State University College Of Medicine in 2006

NPI Data:

NPI Number: 1003055401
Provider Enumeration Date: 02/10/2009
Last Update Date: 07/29/2014

Medicare PECOS Information:

PECOS PAC ID: 7517144298
Enrollment ID: I20110606000608

Medical Identifiers

Medical identifiers for Jackson W Penry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003055401	NPI	-	NPPES
00A1143020	Other	CA	BS/BC OF CA
1003055401	Medicaid	CA
0A1143020	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A114302 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North County Radiology Associates Inc	0840630208	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackson W Penry allows following entities to bill medicare on his behalf.

Entity Name	San Diego Diagnostic Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417988221 PECOS PAC ID: 0143134353 Enrollment ID: O20031112000793

Entity Name	Ihs Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20150617000811

Entity Name	North County Radiology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417723024 PECOS PAC ID: 0840630208 Enrollment ID: O20240502000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson W Penry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackson W Penry, MD Dept La 21789, Pasadena, CA 91185-1789 Ph: (949) 263-8620	Jackson W Penry, MD 27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691-6426 Ph: (949) 364-7744

Reviews and Comments

Radiology Doctors in Mission Viejo, CA

Dr. Jimmy Ton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400
Dr. Asterios Tsimpas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691 Phone: 949-388-7190 Fax: 949-388-7150
Dr. Ivan Babin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400
Michael M Lock, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 160, Mission Viejo, CA 92691 Phone: 949-364-9120 Fax: 949-364-8465
Madhavan Krishnan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 27725 Santa Margarita Pkwy, Ste 101, Mission Viejo, CA 92691 Phone: 949-462-3999 Fax: 949-462-3777
Stephen M Simon, MD Radiology Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-7744 Fax: 949-364-4233

Jackson W Penry, MD - Medicare Diagnostic Radiology in Mission Viejo, CA